<html>
 <head>
        <title>[var.TITLE]</title>
        <link href="[var.ROOT_CSS_DIR]/main.css" rel="STYLESHEET" type="text/css" charset="iso-8859-1" hreflang="en-us">
        <link href="[var.ROOT_CSS_DIR]/facet/style.css" rel="STYLESHEET" type="text/css" charset="iso-8859-1" hreflang="en-us">
        <script type="text/javascript" src="[var.ROOT_DIR]js/common.js"></script>
        <script type="text/javascript" src="[var.ROOT_DIR]js/doiMenuDOM.js"></script>
        <script type="text/javascript" src="[var.ROOT_DIR]js/functions.js"></script>
        <script type="text/javascript" src="[var.ROOT_DIR]js/jsmenu.php"></script>
        <script type="text/javascript" src="[var.ROOT_DIR]js/jsmenu.cfg"></script>
        <script type="text/javascript" src="[var.ROOT_DIR]js/jsformgrid.php?session=[var.SessionVar]"></script>
        <script type="text/javascript" src="[var.ROOT_DIR]js/jsmasks.js"></script>
        <script type="text/javascript" src="[var.ROOT_DIR]js/jsverify.php?session=[var.SessionVar]"></script>
        <script type="text/javascript" src="[var.ROOT_DIR]js/jsinit.php?session=[var.SessionVar]"></script>
        <script type="text/javascript" src="[var.ROOT_DIR]js/jquery.js"></script>
        <script type="text/javascript">
       
		function VerifyForm(valForm) {
		
			var errmessage = '';
			var rpc_errmessage = '';
			var vpayment_status_name = document.[var.HTMLFormName].payment_status_name.value;
			var error = 0;
			
		
			if (vpayment_status_name.length==0) 
			{
				errmessage += 'Payment Status Name is required!\n';
				document.[var.HTMLFormName].payment_status_name.focus();last_focus=1;
				error = 1;
			}
				
			
			if(error > 0)
			{				
				alert(errmessage);
			}
			
			else if(error <= 0)
			{
				valForm.submitted = true; return true;
			}
			
	    }
        </script> 
 </head>
 <body bgcolor="FFFFFF" topmargin="0" leftmargin="0" marginheight="0" marginwidth="0">

         <table border="0" cellspacing="0" cellpadding="0" width="100%" align="[var.POSITION]">
                <tr>
                        <td>[tbs_include.onshow;file=[var.HTMLHeader];getob;]</td>
                </tr>
                <tr>
                        <td>
                        <table border="0" cellspacing="0" cellpadding="0" width="100%">
                                <tr>
                                        <td class="mainmenu2"><img src="images/spacer.gif" height="1" width="1"></td>
                                </tr>
                                <tr>
                                        <td background="[var.ROOT_IMG_DIR]/back-menu.gif">
                                        <table border="0" cellspacing="0" cellpadding="0" width="100%">
                                                <tr>
                                                        <td>
                                                        <script language="JavaScript" type="text/JavaScript">menu.Build();</script>
                                                  </td>
                                                  <td class="head-login">Login as [var.USERPROFILE_NAME]</td>
                                                </tr>
                                          </table>
                                        </td>
                                </tr>
                                <tr>
                                        <td class="mainmenu2"><img src="images/spacer.gif" height="1" width="1"></td>
                                </tr>
                        </table>
                        </td>
                </tr>
                <tr height="100%">
                        <td>
                        <table border="0" cellspacing="0" cellpadding="0" width="100%" height="100%">
                                <tr valign="top">
                                        <td width="100%">
                                                <table border="0" cellspacing="0" cellpadding="0" width="100%">
                                                        <tr>
                                                                <td class="head-path"></td>
                                                                <td class="corner-date">[var.CORNER_DATE]</td>
                                                        </tr>
                                                </table>
                                                <table border="0" cellspacing="0" cellpadding="5" width="100%">
                                                        <tr>
                                                                <td class="FacetHeaderContent" >.:[var.SubHeaderTitle]:.</td>
                                                        </tr>
                                                </table>

                                                <table border="0" cellspacing="0" cellpadding="5" width="100%">
                                                        <tr>
                                                          <td class="contentTitle">
                                                                Menu
                                                          </td>
                                                        </tr>
                                                        <tr>
                                                          <td class="content2">

                                                                <table cellspacing="2" cellpadding="0">
                                                                 <tr>
                                                                   <td>
                                                                    <input type="button" name="Action" value="<<Back" class="button" onClick="self.location.replace('[sys.script_name]')">
                                                                   </td>
                                                                   <td>
                                                                    <input type="button" name="Action" value="Done" class="button" onClick="self.location.replace('[var.SERVER_URL]')">
                                                                   </td>
                                                                 </tr>
                                                                </table>
                                                          </td>
                                                        </tr>
                                                        <tr>
                                                          <td class="content2">
                                                        <!-- FORM SECTION -->
                                                        <table border="0" cellspacing="0" cellpadding="0" align="left">
                                                        
                                                        <form method="post" action="[var.FormAction]" name="[var.HTMLFormName]" ONSUBMIT="if (this.submitted) return true; else return false;">
                                                                  <tr>
                                                                    <td class="fieldCaption" align="right">Payment Status ID</td>
                                                                    <td class="fieldCaption">:</td>
                                                                    <td class="fieldCaption">
                                                                        [tbs_check;htmlconv=no;if [var.FormMode]=Edit;then
                                                                        '<input type="text" name="payment_status_id" value="[headblv.payment_status_id;noerr]" maxlength="255" size="10" onblur="[var.InitFunction]" onkeyup="this.value=this.value.toUpperCase()" class="input" "readonly">'
                                                                        ;else 'AUTO NUMBERED BY SYSTEM <input type="hidden" name="payment_status_id" value="AUTO NUMBERED BY SYSTEM">']
                                                                    </td>
                                                                    <!--<td class="fieldCaption"><input type="text" name="(bln.project_id)" value="[headblv.project_id;noerr]" maxlength="255" size="10" onblur='[var.InitFunction]' onkeyup="this.value=this.value.toUpperCase()" class="input" [tbs_check;if [var.FormMode]=Edit;then 'readonly';else '']></td>-->
                                                                  </tr>
                                                                  <tr>
                                                                    <td class="fieldCaption" align="right">Payment Status</td>
                                                                    <td class="fieldCaption">:</td>
                                                                    <td class="fieldCaption"><input type="text" name="payment_status_name" value="[headblv.payment_status_name;noerr]" maxlength="255" size="25" class="input"></td>
                                                                  </tr>
                                                                 

                                                                 <!--Edited by Adit van Smith-->

                                                         </table>
                                                         <!-- FORM SECTION -->
                                                                </td>
                                                        </tr>
                                                </table>
                                                
                                                                                               
                                                <!--BUTTON-->
                                                <div id="spanButton" style="height: 35px; vertical-align: top; overflow-y: noscroll;">
                                                <table border="0" width="100%" cellpadding="3" cellspacing="1" class="FacetFormTABLE" align="left">
                                                        <tr>
                                                            <td align="right" class="FacetColumnTD">

                                                                   <table border="0" cellspacing="2" cellpadding="0">
                                                                           <tr>                                                                                  
                                                                                   <td>
                                                                                     <input name="FormAction" type="submit" value="Save" class="button" ONCLICK="VerifyForm(this.form);">
                                                                                   </td>
                                                                                  
                                                                                   <td>[tbs_check;block=td;if [var.USER_CANDELETE]=1]
																					<input type="button" name="Action" value="Delete" class="button" onClick="if (confirm('Are you sure want to delete ?')) {document.[var.HTMLFormName].action='[sys.script_name]?FormAction=Delete&[var.PRIMARY_KEY]=[var.PRIMARY_VALUE]&PageMode=Form&form=[var.HTMLFormName]';[var.HTMLFormName].submit();}">
																				   </td>
																				   
                                                                                   <td>
                                                                                     <input name="FormAction" type="submit" value="Cancel" class="button" onClick="self.location.replace('[sys.script_name]')">
                                                                                   </td>
                                                                           </tr>
                                                                   </table>


                                                            </td>
                                                                </td>
                                                        </tr>
                                                        </form>
                                                </table>
                                                </div>
                                                
                                                <!--END BUTTON-->
                                                
                                                
                                        </td>
                                </tr>
                        </table>
                        </td>
                </tr>

                <tr>
                        <td>
                        <br>
                        <table border="0" cellspacing="0" cellpadding="0" width="100%">
                                <tr>
                                        <td class="footer1"><img src="images/spacer.gif" height="1" width="1"></td>
                                </tr>
                                <!--tr>
                                        <td class="footer2">Prototype Test - Web Application</td>
                                </tr-->
                        </table>
                        </td>
                </tr>
         </table>
 </body>
<iframe width="174" height="189" name="gToday:normal:agenda.js" id="gToday:normal:agenda.js" src="[var.ROOT_DIR]js/Calendar/pop/ipopeng.htm" scrolling="no" frameborder="0" style="LEFT: -500px; POSITION: absolute; TOP: 0px; VISIBILITY: visible; Z-INDEX: 999"></iframe>
 
</html>
